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Organization

LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD

Active
Other names
LUCILE PACKARD CHILDREN'S HOSPITAL OUTPATIENT PHARMACY, LPCH Outpatient & Specialty Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY WONG (PHARMACY MANAGER)
(650) 497-8289
Entity
Organization

Contact information

Practice address
4600 BOHANNON DR # 120, MENLO PARK, CA 94025-1034
(650) 497-8289
(650) 497-8974
Mailing address
4600 BOHANNON DR # 120, MENLO PARK, CA 94025-1034
(650) 497-8289
(650) 497-8974

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PHY52051
PHARMACY LICENSE
CA
01
PHY61357
LICENSE
CA
Enumeration date
06/07/2016
Last updated
04/02/2026
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